Organization Active NPI

Healing Tree Counseling Center

  • Mental Health Counselor
  • Wilkesboro, NC
National Provider Identifier
1669525838
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING TREE COUNSELING CENTER
Practice address
1203 School St Ste 109B
Wilkesboro, NC 28697-2633
Phone
(336) 903-8733
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Margaret W. Maycock, MA, LPC
Title
Owner/Lead Therapist
Phone
(336) 973-8733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1203 School St Ste 109B
Wilkesboro, NC 28697-2633

Mailing address

1203 School St Ste 109B
Wilkesboro, NC 28697-2633

Other identifiers 1

IdentifierTypeStateIssuer
6005373MedicaidNC

National Provider Directory

National Provider Directory

Locations

1203 School St
Ste 109B
Wilkesboro, NC 28697
Phone (336) 903-8733

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1669525838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 SCHOOL ST STE 109B",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 SCHOOL ST STE 109B",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972633",
            "telephone_number": "336-903-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TREE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "MAYCOCK",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "336-973-8733",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005373",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.